1.What is your age range?

21–29

30–39

40–49

50–59

60+

2.Which best describes your current professional role?

Executive/Senior Leadership

Manager/Supervisor

Business Owner/Entrepreneur

Healthcare Professional

Educator

Nonprofit Professional

Government/Public Service

Corporate Professional

Other (Please Specify)

3.How many years have you been in your profession?

Less than 5 years

5–10 years

11–20 years

21+ years

4.Which word best describes how leadership feels for you right now?

Empowering

Exhausting

Rewarding

Isolating

Challenging

Purposeful

Overwhelming

Other (Please Specify)

5.Please explain your answer.

6.What responsibilities do you currently carry that people may not fully see or understand?

7.On a scale of 1–5, how often do you feel overwhelmed by the responsibilities you carry?

1 Never

2 Rarely

3 Sometimes

4 Often

5 Almost Always

8.What is success currently costing you?

Time with family

Personal relationships

Physical health

Mental health

Emotional well-being

Rest and sleep

Financial stability

Personal hobbies/interests

Nothing significant

Other (Please Specify)

9.How often do you sacrifice your personal needs to meet professional expectations?

1 Never

2 Rarely

3 Sometimes

4 Often

5 Almost Always

10.What barriers make it difficult for you to prioritize your mental, emotional, or physical wellness?

Time constraints

Financial limitations

Caregiving responsibilities

Workplace expectations

Feelings of guilt

Lack of support

Lack of access to resources

Burnout

Other (Please Specify)